Provider Demographics
NPI:1508028242
Name:HODGES, MELISSA HORNSBY (MA CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:HORNSBY
Last Name:HODGES
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18096 KINGS ROW
Mailing Address - Street 2:STE C
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058-3829
Mailing Address - Country:US
Mailing Address - Phone:281-614-9367
Mailing Address - Fax:
Practice Address - Street 1:18096 KINGS ROW
Practice Address - Street 2:STE C
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-3829
Practice Address - Country:US
Practice Address - Phone:281-614-9367
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-25
Last Update Date:2013-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX100484235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist